Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 0101-31818 | VA |
NPI | 1063495323 |
---|---|
Provider Name | Dr. Thanh Nguyen-Dinh |
First Address | San Leandro, CA 94577-1556 |
Second Address | San Leandro, CA 94577-1556 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2005 |
Last Update Date | 27/12/2013 |